Medicare Facts for Lisa P. Ellis, LCSW


National Provider Identifier [NPI]: 1245214923
Last Name Of The Provider ELLIS
First Name Of The Provider LISA
Middle Initial Of The Provider H
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1 MEDICAL PLAZA DR
Street Address 2 Of The Provider
City Of The Provider ROSEVILLE
Zip Code Of The Provider 956613037
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 817
Number Of Medicare Beneficiaries 331
Total Submitted Charge Amount 214872
Total Medicare Allowed Amount 71767.94
Total Medicare Payment Amount 55925.59
Total Medicare Standardized Payment Amount 54644.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 817
Number Of Medicare Beneficiaries With Medical Services 331
Total Medical Submitted Charge Amount 214872
Total Medical Medicare Allowed Amount 71767.94
Total Medical Medicare Payment Amount 55925.59
Total Medical Medicare Standardized Payment Amount 54644.76
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 53
Number Of Beneficiaries Age 65 to 74 91
Number Of Beneficiaries Age 75 to 84 105
Number Of Beneficiaries Age Greater 84 82
Number Of Female Beneficiaries 185
Number Of Male Beneficiaries 146
Number Of Non Hispanic White Beneficiaries 281
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 11
Number Of Hispanic Beneficiaries 24
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 239
Number Of Beneficiaries With Medicare Medicaid Entitlement 92
Percent Of With Atrial Fibrillation 25
Percent Of With Alzheimers Disease or Dementia 27
Percent Of With Asthma 12
Percent Of With Cancer 18
Percent Of With Heart Failure 48
Percent Of With Chronic Kidney Disease 53
Percent Of With Chronic Obstructive Pulmonary Disease 33
Percent Of With Depression 41
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 18
Average HCC Risk Score Of Beneficiaries 2.119

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